| NPI | 1215126974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN C MORRIS-WARD Sole Proprietor 360-486-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00028839) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-11-28 |